Glucose gel

Question 1

Glucose gel

Presentation

Answer 1

15g glucose gel in tube.

Question 2

Glucose gel

Use

Answer 2

Demonstrated hypoglycaemia in:
• Altered conscious state in a known Diabetic.
• Altered conscious state of unknown medical cause, where blood glucose level is below 4mmol/L
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Question 3

Glucose gel

Type

Answer 3

.

Question 4

Glucose gel

Dose (adult + paed, Inc repeat)

Answer 4

Adult:
• Squeeze contents of tube (or as much as practical) into lower cheek pouch over gums/cheek and externally massage cheek.
• Repeat after 10 minutes if still altered consciousness or deteriorating.
Child:
• Administer small amounts of oral glucose gel into lower cheek pouch over gums/cheek and externally massage cheek.
• Repeat after 10 minutes if still altered consciousness or deteriorating.
• Do not delay transport.
Neonate/Infant:
• Process for buccal administration of oral glucose gel:
o Wearing a clean glove, gently dry the infant’s buccal mucosa with gauze/pad.
o Place a small amount of oral glucose gel onto gloved finger and gently massage into the infants buccal mucosa.
o DO NOT administer the gel directly from the tube into the infants mouth.
o Use only a portion of the tube, titrate to effect.
• Repeat as necessary after 10 minutes if still altered consciousness or deteriorating.
• Do not delay transport.
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Question 5

Glucose gel
Actions

(inc onset & offset

Answer 5

• Onset 2-5 minutes, duration 12-25 minutes.

Question 6

Glucose gel

Contraindications

Answer 6

Nil.

Question 7

Glucose gel

Adverse effects

Answer 7

• Airway obstruction.

Question 8

Glucose gel

Precautions

Answer 8

ve patient’s airway patent and in lateral position if unconscious.
• Always consider patient’s airway when administering gel.
• Even if fully recovered, patients should be encouraged to be transported to a medical facility to ensure effective follow up and review.
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